Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $229.09 / $229.09	Facility		$58.88	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $107.15	Professional		$53.70	$64.57	$107.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Professional		$125.89	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $138.04	Professional		$102.33	$102.33	$138.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $229.09	Facility		$58.88	$58.88	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $114.82	Professional		$56.23	$64.57	$114.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $69.18 / $97.72	Professional		$0.60	$69.18	$97.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $34.67	Professional		$25.70	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $112.20	Facility		$56.23	$74.13	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $141.25	Professional		$61.66	$79.43	$141.25